{"id":"https://openalex.org/W2099217482","doi":"https://doi.org/10.4037/ajcc2006.15.6.614","title":"Brain Natriuretic Peptide, Clinical Reasoning, and Congestive Heart Failure","display_name":"Brain Natriuretic Peptide, Clinical Reasoning, and Congestive Heart Failure","publication_year":2006,"publication_date":"2006-11-01","ids":{"openalex":"https://openalex.org/W2099217482","doi":"https://doi.org/10.4037/ajcc2006.15.6.614","mag":"2099217482","pmid":"https://pubmed.ncbi.nlm.nih.gov/17053269"},"language":"en","primary_location":{"id":"doi:10.4037/ajcc2006.15.6.614","doi":"https://doi.org/10.4037/ajcc2006.15.6.614","is_oa":false,"landing_page_url":"https://doi.org/10.4037/ajcc2006.15.6.614","pdf_url":null,"source":{"id":"https://openalex.org/S76904441","display_name":"American Journal of Critical Care","issn_l":"1062-3264","issn":["1062-3264","1937-710X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4320800778","host_organization_name":"American Association of Critical-Care Nurses","host_organization_lineage":["https://openalex.org/P4320800778"],"host_organization_lineage_names":["American Association of Critical-Care Nurses"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Critical Care","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5007714719","display_name":"Hussam Ammar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210132312","display_name":"Heartland Regional Medical Center","ror":"https://ror.org/046yr0268","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210132312"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hussam Ammar","raw_affiliation_strings":["Heartland Regional Medical Center, St. Joseph, Mo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Heartland Regional Medical Center, St. Joseph, Mo","institution_ids":["https://openalex.org/I4210132312"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109185340","display_name":"Ashok Kumar Malani","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210132312","display_name":"Heartland Regional Medical Center","ror":"https://ror.org/046yr0268","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210132312"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ashok Kumar Malani","raw_affiliation_strings":["Heartland Regional Medical Center, St. Joseph, Mo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Heartland Regional Medical Center, St. Joseph, Mo","institution_ids":["https://openalex.org/I4210132312"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108242965","display_name":"Chakshu Gupta","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210132312","display_name":"Heartland Regional Medical Center","ror":"https://ror.org/046yr0268","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210132312"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Chakshu Gupta","raw_affiliation_strings":["Heartland Regional Medical Center, St. Joseph, Mo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Heartland Regional Medical Center, St. Joseph, Mo","institution_ids":["https://openalex.org/I4210132312"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5031028108","display_name":"Dennis C. Dobyan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210132312","display_name":"Heartland Regional Medical Center","ror":"https://ror.org/046yr0268","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210132312"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Dennis C. Dobyan","raw_affiliation_strings":["Heartland Regional Medical Center, St. Joseph, Mo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Heartland Regional Medical Center, St. Joseph, Mo","institution_ids":["https://openalex.org/I4210132312"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210132312"],"apc_list":null,"apc_paid":null,"fwci":0.2372,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":{"value":0.67801217,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"15","issue":"6","first_page":"614","last_page":"616"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10198","display_name":"Heart Failure Treatment and Management","score":0.9814000129699707,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10198","display_name":"Heart Failure Treatment and Management","score":0.9814000129699707,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10285","display_name":"Venous Thromboembolism Diagnosis and Management","score":0.00839999970048666,"subfield":{"id":"https://openalex.org/subfields/2724","display_name":"Internal Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":0.003700000001117587,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/brain-natriuretic-peptide","display_name":"brain natriuretic peptide","score":0.9760000109672546},{"id":"https://openalex.org/keywords/congestive-heart-failure","display_name":"congestive heart failure","score":0.9789999723434448},{"id":"https://openalex.org/keywords/dyspnea","display_name":"dyspnea","score":0.9120000004768372},{"id":"https://openalex.org/keywords/pulmonary-embolism","display_name":"pulmonary embolism","score":0.9729999899864197},{"id":"https://openalex.org/keywords/differential-diagnosis","display_name":"differential diagnosis","score":0.8339999914169312},{"id":"https://openalex.org/keywords/clinical-reasoning","display_name":"clinical reasoning","score":0.7160000205039978},{"id":"https://openalex.org/keywords/emergency-department","display_name":"emergency department","score":0.4740000069141388},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.734000027179718},{"id":"https://openalex.org/keywords/paroxysmal-atrial-fibrillation","display_name":"paroxysmal atrial fibrillation","score":0.8379999995231628},{"id":"https://openalex.org/keywords/wells-score","display_name":"Wells score","score":0.37400001287460327},{"id":"https://openalex.org/keywords/acute-kidney-injury","display_name":"acute kidney injury","score":0.34299999475479126},{"id":"https://openalex.org/keywords/acute-respiratory-failure","display_name":"acute respiratory failure","score":0.4560000002384186},{"id":"https://openalex.org/keywords/acute-myocardial-infarction","display_name":"acute myocardial infarction","score":0.5070000290870667}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8666502833366394},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.8289756178855896},{"id":"https://openalex.org/C2775846464","wikidata":"https://www.wikidata.org/wiki/Q66360952","display_name":"Brain natriuretic peptide","level":3,"score":0.6496439576148987},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.566730797290802},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5661330819129944},{"id":"https://openalex.org/C2775915353","wikidata":"https://www.wikidata.org/wiki/Q1571529","display_name":"Natriuretic peptide","level":3,"score":0.5019547939300537}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003937","descriptor_name":"Diagnosis, Differential","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003951","descriptor_name":"Diagnostic Errors","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D004417","descriptor_name":"Dyspnea","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D004562","descriptor_name":"Electrocardiography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006333","descriptor_name":"Heart Failure","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D006333","descriptor_name":"Heart Failure","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011655","descriptor_name":"Pulmonary Embolism","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D011655","descriptor_name":"Pulmonary Embolism","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D015415","descriptor_name":"Biomarkers","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D020097","descriptor_name":"Natriuretic Peptide, Brain","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.4037/ajcc2006.15.6.614","doi":"https://doi.org/10.4037/ajcc2006.15.6.614","is_oa":false,"landing_page_url":"https://doi.org/10.4037/ajcc2006.15.6.614","pdf_url":null,"source":{"id":"https://openalex.org/S76904441","display_name":"American Journal of Critical Care","issn_l":"1062-3264","issn":["1062-3264","1937-710X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4320800778","host_organization_name":"American Association of Critical-Care Nurses","host_organization_lineage":["https://openalex.org/P4320800778"],"host_organization_lineage_names":["American Association of Critical-Care Nurses"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Critical Care","raw_type":"journal-article"},{"id":"pmid:17053269","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/17053269","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American journal of critical care : an official publication, American Association of Critical-Care Nurses","raw_type":"Case Reports"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":9,"referenced_works":["https://openalex.org/W1979384626","https://openalex.org/W1988816170","https://openalex.org/W1995262478","https://openalex.org/W2132436071","https://openalex.org/W2166595242","https://openalex.org/W2395450460","https://openalex.org/W2413861168","https://openalex.org/W3027703487","https://openalex.org/W4243814981"],"related_works":["https://openalex.org/W2396583175","https://openalex.org/W2352740134","https://openalex.org/W2109252837","https://openalex.org/W120093115","https://openalex.org/W2168217900","https://openalex.org/W2184319706","https://openalex.org/W2055381847","https://openalex.org/W1482913995","https://openalex.org/W2347578937","https://openalex.org/W2124250667"],"abstract_inverted_index":{"To":[0],"highlight":[1],"the":[2,43,52,72,84,106,135,138,184,197,214,235,395,432,435,451,487,531,538,561,564,576,594,675,681,764,779,793,816,847,871,894,912,930,934,941,1009,1012],"importance":[3,215],"of":[4,30,38,51,77,89,94,134,137,171,179,188,202,216,242,330,343,345,350,359,384,401,416,431,437,459,486,524,545,563,578,603,638,655,680,687,706,717,729,761,778,792,797,828,831,836,844,849,866,896,936,955,969,979,991,1001,1011,1021,1055],"excluding":[5,217],"other":[6,218,992,1035,1062],"causes":[7,219,553],"before":[8,220],"attributing":[9,221],"signs":[10,222],"and":[11,13,82,92,113,125,196,223,225,246,261,295,317,332,354,356,378,394,465,490,499,514,543,556,606,664,708,724,752,834,854,883,986,989,1085],"symptoms":[12,224],"elevated":[14,159,193,226,341,348,540,855,1032],"brain":[15],"natriuretic":[16,98],"peptide":[17,99],"levels":[18,145,161,228,349,358,542,574,585,615,657,667,689,709,721,782,1029,1039,1048],"to":[19,42,54,63,67,111,150,183,229,234,307,418,447,456,518,534,674,812,949,953],"congestive":[20,163,970],"heart":[21,164,248,258,631,839,959,971],"failure":[22,165,632,790,972],"(CHF),":[23],"this":[24,529,643,773,916,1002],"article":[25],"presents":[26],"a":[27,35,49,102,119,126,168,176,208,269,339,466,639,645,694,727,802,837,860,977,1053],"case":[28,169,212,520],"study":[29,170,768],"an":[31,172,321,522,548,998],"elderly":[32,173,549],"woman":[33,174,232],"with":[34,46,162,175,478,508,628,788,957,1023],"known":[36,177,826],"history":[37,178,286,544,827],"CHF":[39,180,203,393,546,557,579,668,814,892,1044,1056],"who":[40,153,181],"presented":[41],"emergency":[44,185,236,568],"department":[45,186,237],"dyspnea.Dyspnea":[47],"is":[48,101,521,593,600,662,821,869,893,911,928,943,973,1045],"sensation":[50],"need":[53],"breathe":[55],"or":[56,58,795],"difficult":[57,625],"labored":[59],"breathing.":[60],"It":[61,116],"leads":[62],"2.5":[64],"million":[65],"visits":[66],"healthcare":[68],"providers":[69],"annually":[70],"in":[71,109,121,128,381,526,547,567,626,633,763,772,786,876,908,951,1017,1033],"United":[73],"States.1":[74],"A":[75,428,481,899],"number":[76],"abnormalities":[78],"can":[79,649,669,1025],"cause":[80,562],"dyspnea,":[81],"determining":[83],"etiology":[85],"will":[86],"allow":[87],"institution":[88],"timely":[90],"therapy":[91,511],"avoidance":[93],"unnecessary":[95],"diagnostic":[96],"tests.Brain":[97],"(BNP)":[100],"neurohormone":[103],"secreted":[104],"by":[105],"left":[107,491,496,734,747,937,964,1069,1080],"ventricle":[108,489],"response":[110],"pressure":[112,254,383,858],"volume":[114],"overload.":[115],"produces":[117],"natriuresis,":[118],"decrease":[120],"systemic":[122],"vascular":[123],"resistance,":[124],"reduction":[127],"cardiac":[129,360],"filling":[130],"pressure.":[131],"After":[132],"publication":[133],"results":[136,337],"Breathing":[139,765],"Not":[140,766],"Properly":[141,767],"Multinational":[142],"Study,2":[143],"BNP":[144,160,194,227,344,541,573,584,598,614,647,656,688,720,770,781,803,995],"have":[146,154,859,1026,1088],"increasingly":[147],"been":[148,1089],"used":[149,692,811],"evaluate":[151],"patients":[152,627,787,956,1022],"dyspnea;":[155],"many":[156],"physicians":[157],"associate":[158],"(CHF).3We":[166],"present":[167],"came":[182,233],"because":[187,238,450,637,679],"dyspnea.":[189],"She":[190,264],"had":[191,240,265,769],"markedly":[192,340,539],"levels,":[195],"working":[198,390],"diagnosis":[199,391,935,968,1054],"was":[200,282,304,312,392,397,426,453,463,469,512,516,558,904],"exacerbation":[201],"until":[204],"further":[205],"investigation":[206],"revealed":[207,252,272,320,484],"pulmonary":[209,302,334,438,444,607,640,738,745,850,867,925,1066,1073],"embolism.":[210,439,641,926],"This":[211,621],"highlights":[213],"CHF.An":[230],"86-year-old":[231],"she":[239,410,515],"shortness":[241],"breath,":[243],"chest":[244,270],"tightness,":[245],"rapid":[247],"rate.":[249],"Physical":[250],"examination":[251,430],"blood":[253,365],"134/76":[255],"mm":[256,376,387],"Hg,":[257,377],"rate":[259,820],"73/min,":[260],"respirations":[262],"33/min.":[263],"jugular":[266,856],"venous":[267,857],"distention;":[268],"auscultation":[271],"bilateral":[273],"wheezing.":[274],"The":[275,389,471,494],"patient\u2019s":[276,299,424,495,565],"oxygen":[277,385,417,420],"saturation":[278,421],"on":[279,363,537,901,976],"room":[280],"air":[281],"76%.":[283],"Her":[284,504],"medical":[285],"included":[287,338],"CHF,":[288,707,732,829],"paroxysmal":[289],"atrial":[290,743,897,1078],"fibrillation,":[291,744,1079],"hypertension,":[292,739,1074],"diabetes":[293],"mellitus,":[294],"chronic":[296,629,737,1072],"renal":[297,789],"failure.The":[298],"risk":[300],"for":[301,314,443,890,933],"embolism":[303,445,608],"low":[305],"according":[306],"modified":[308],"Wells":[309,441],"criteria.":[310],"Blood":[311],"obtained":[313],"laboratory":[315,987],"evaluation,":[316,1003],"electrocardiography":[318],"(ECG)":[319],"s1q3":[322,913],"pattern":[323,900,917],"(see":[324],"FigureF1).":[325],"Plain":[326],"radiographs":[327],"showed":[328,473],"evidence":[329],"cardiomegaly":[331,882],"mild":[333],"congestion.":[335],"Laboratory":[336],"level":[342,599,804],"1200":[346],"pg/mL,":[347,726,1043,1052],"serum":[351],"urea":[352],"nitrogen":[353],"creatinine,":[355],"normal":[357,963],"enzymes.":[361],"Values":[362],"arterial":[364],"gas":[366],"analysis":[367],"were":[368,502,554],"pH":[369],"7.44,":[370],"PCO2":[371],"39":[372],"mmHg,":[373],"PO2":[374],"45":[375],"alveolar-arterial":[379],"difference":[380],"partial":[382],"56":[386],"Hg.":[388],"patient":[396,452,910],"given":[398],"80":[399],"mg":[400],"intravenous":[402,460],"furosemide.":[403],"However,":[404],"her":[405],"condition":[406,425,505],"did":[407],"not":[408,454,944],"improve;":[409],"required":[411],"more":[412],"than":[413,587,618,659,700,711,806,823,1036,1041,1050],"16":[414],"L/min":[415],"maintain":[419],"at":[422,583,665,775],"90%.The":[423],"reevaluated.":[427],"closer":[429],"ECGs":[433,902],"raised":[434],"possibility":[436],"Modified":[440],"criteria":[442],"increased":[446],"intermediate":[448],"probability":[449],"responding":[455],"treatment.":[457],"Administration":[458],"unfractionated":[461],"heparin":[462],"started,":[464,513],"ventilation-perfusion":[467,479],"scan":[468,472],"performed.":[470],"2":[474],"large":[475],"segmental":[476],"defects":[477],"mismatch.":[480],"2-dimensional":[482],"echocardiogram":[483],"enlargement":[485],"right":[488],"ventricular":[492,497,735,748,938,965,1070,1081],"hypertrophy.":[493],"function":[498],"ejection":[500],"fractions":[501],"normal.":[503],"steadily":[506],"improved":[507],"anticoagulation.":[509],"Warfarin":[510],"discharged":[517],"home.This":[519],"example":[523],"\u201cshortcuts":[525],"reasoning.\u201d3":[527],"In":[528,642,799],"case,":[530],"shortcut":[532],"led":[533],"undue":[535],"emphasis":[536],"patient.":[550],"Other":[551,878],"possible":[552],"ignored,":[555],"diagnosed":[559],"as":[560,572,693,1065],"dyspnea.Studies":[566],"departments":[569],"indicate":[570],"that":[571,596,903],"increase,":[575],"likelihood":[577],"generally":[580],"increases,":[581],"especially":[582],"greater":[586,617,699,710,1049],"1000":[588,619,712,725],"pg/mL.4":[589,620],"Of":[590],"note,":[591],"however,":[592],"fact":[595],"no":[597],"absolutely":[601],"predictive":[602,653,684,705,716,843,863],"CHF.1":[604],"Sepsis":[605],"should":[609,809,1005,1057],"always":[610,945],"be":[611,624,650,670,757,810,1006,1031,1058],"excluded":[612],"when":[613],"are":[616,690,703,714,783,841,997],"step":[622],"may":[623,1030],"symptomatic":[630],"whom":[634],"dyspnea":[635,1024],"develops":[636],"situation,":[644],"high":[646,682],"value":[648,654],"misleading.5The":[651],"negative":[652,683,862],"less":[658,805,822,1040],"100":[660,1042,1051],"pg/mL":[661,702,713,808],"98%,":[663],"these":[666],"ruled":[671],"out.2,4":[672],"According":[673,948],"European":[676],"task":[677],"force,":[678],"value,":[685],"assays":[686],"best":[691,974],"\u201crule":[695],"out\u201d":[696],"test.":[697],"Levels":[698],"400":[701,723],"moderately":[704],"substantially":[715],"CHF.4":[718],"With":[719],"between":[722],"variety":[728],"conditions,":[730],"including":[731],"asymptomatic":[733,1068],"dysfunction,":[736,939,1071],"unstable":[740,1075],"myocardial":[741,1076],"infarction,":[742,1077],"embolism,":[746,1067],"hypertrophy,":[749,1082],"lung":[750,1083],"cancer,":[751,1084],"even":[753],"old":[754],"age":[755,1087],"must":[756],"considered.":[758],"Interestingly,":[759],"40%":[760,777],"participants":[762],"values":[771,996],"range":[774],"least":[776],"time.2":[780],"also":[784],"higher":[785],"independent":[791],"presence":[794,830,835,895],"absence":[796,848],"CHF.":[798,877,1037],"such":[800,1064],"patients,":[801],"200":[807],"exclude":[813],"if":[815],"estimated":[817],"glomerular":[818],"filtration":[819],"60":[824],"mL/min.6A":[825],"abdomino-jugular":[832],"reflux,":[833],"third":[838],"sound":[840],"strongly":[842],"CHF;":[845],"conversely,":[846],"rales,":[851],"pedal":[852],"edema,":[853],"strong":[861],"value.":[864],"Evidence":[865],"edema":[868],"reportedly":[870],"most":[872,886],"useful":[873,879,887],"radiological":[874,985],"finding":[875,889],"findings":[880],"include":[881],"pleural":[884],"effusion.1The":[885],"ECG":[888],"predicting":[891],"fibrillation.":[898],"noted":[905],"but":[906,940],"ignored":[907],"our":[909],"pattern.":[914],"Although":[915,994],"remains":[918],"controversial,":[919],"some":[920],"investigators7":[921],"believe":[922],"it":[923],"indicates":[924],"Echocardiography":[927],"considered":[929],"gold":[931],"standard":[932],"procedure":[942],"readily":[946],"available.2":[947],"estimates,8":[950],"20%":[952],"50%":[954],"diastolic":[958],"failure,":[960],"echocardiograms":[961],"show":[962],"systolic":[966],"function.The":[967],"based":[975],"combination":[978],"clinical":[980,1014],"features,":[981],"thorough":[982],"physical":[983],"examination,":[984],"data,":[988],"exclusion":[990],"conditions.1":[993],"important":[999],"part":[1000],"they":[1004],"interpreted":[1007],"within":[1008],"context":[1010],"entire":[1013],"findings.":[1015],"Shortcuts":[1016],"reasoning":[1018],"during":[1019],"evaluation":[1020],"undesirable":[1027],"consequences.BNP":[1028],"conditions":[1034,1063],"At":[1038,1047],"unlikely.":[1046],"made":[1059],"only":[1060],"after":[1061],"advanced":[1086],"excluded.":[1090]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
